Depression in diabetic patients attending University of Gondar Hospital Diabetic Clinic, Northwest Ethiopia

Anteneh Messele Birhanu,1 Fekadu Mazengia Alemu,2 Tesfaye Demeke Ashenafie,3 Shitaye Alemu Balcha,4 Berihun Assefa Dachew5 1School of Medicine, College of Medicine and Health Sciences, Wollo University, Dessie, 2Department of Midwifery, 3Department of Nursing, 4Department of Internal Medicine, Colle...

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Autores principales: Birhanu AM, Alemu FM, Ashenafie TD, Balcha SA, Dachew BA
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Publicado: Dove Medical Press 2016
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spelling oai:doaj.org-article:3034eb8dbc00402a98a547a8f117c4ee2021-12-02T04:19:37ZDepression in diabetic patients attending University of Gondar Hospital Diabetic Clinic, Northwest Ethiopia1178-7007https://doaj.org/article/3034eb8dbc00402a98a547a8f117c4ee2016-05-01T00:00:00Zhttps://www.dovepress.com/depression-in-diabetic-patients-attending-university-of-gondar-hospita-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Anteneh Messele Birhanu,1 Fekadu Mazengia Alemu,2 Tesfaye Demeke Ashenafie,3 Shitaye Alemu Balcha,4 Berihun Assefa Dachew5 1School of Medicine, College of Medicine and Health Sciences, Wollo University, Dessie, 2Department of Midwifery, 3Department of Nursing, 4Department of Internal Medicine, College of Medicine and Health Sciences, 5Department of Epidemiology and Biostatistics, Institute of Public Health, University of Gondar, Gondar, Ethiopia Background: Diabetes mellitus, frequently associated with comorbid depression, contributes to the double burden of individual patients and community. Depression remains undiagnosed in as many as 50%–75% of diabetes cases. This study aimed to determine the prevalence and associated factors of depression among diabetic patients attending the University of Gondar Hospital Diabetic Clinic, Northwest Ethiopia. Methods: An institution-based cross-sectional study was conducted from March to May 2014 among 422 sampled diabetic patients attending the University of Gondar Hospital Diabetic Clinic. The participants were selected using systematic random sampling. Data were collected by face-to-face interview using a standardized and pretested questionnaire linked with patient record review. Depression was assessed using the Patient Health Questionnaire-9. Data were entered to EPI INFO version 7 and analyzed by SPSS version 20 software. Binary logistic regression analysis was performed to identify factors associated with depression. Results: A total of 415 diabetic patients participated in the study with a response rate of 98.3%. The prevalence of depression among diabetic patients was found to be 15.4% (95% confidence interval (CI): 11.7–19.2). Only religion (adjusted odds ratio [AOR] =2.65 and 95% CI: 1.1–6.0) and duration of diabetes (AOR =0.27 and 95% CI: 0.07–0.92) were the factors associated with depression among diabetic patients. Conclusion: The prevalence of depression was low as compared to other similar studies elsewhere. Disease (diabetes) duration of 10 years and above and being a Muslim religion follower (as compared to Christian) were the factors significantly associated with depression. Early screening of depression and treating depression as a routine component of diabetes care are recommended. Further research with a large sample size, wider geographical coverage, and segregation of type of diabetes mellitus is recommended. Keywords: depression, diabetes, University of Gondar HospitalBirhanu AMAlemu FMAshenafie TDBalcha SADachew BADove Medical PressarticleDepressionDiabetesUniversity of Gondar HospitalSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2016, Iss Issue 1, Pp 155-162 (2016)
institution DOAJ
collection DOAJ
language EN
topic Depression
Diabetes
University of Gondar Hospital
Specialties of internal medicine
RC581-951
spellingShingle Depression
Diabetes
University of Gondar Hospital
Specialties of internal medicine
RC581-951
Birhanu AM
Alemu FM
Ashenafie TD
Balcha SA
Dachew BA
Depression in diabetic patients attending University of Gondar Hospital Diabetic Clinic, Northwest Ethiopia
description Anteneh Messele Birhanu,1 Fekadu Mazengia Alemu,2 Tesfaye Demeke Ashenafie,3 Shitaye Alemu Balcha,4 Berihun Assefa Dachew5 1School of Medicine, College of Medicine and Health Sciences, Wollo University, Dessie, 2Department of Midwifery, 3Department of Nursing, 4Department of Internal Medicine, College of Medicine and Health Sciences, 5Department of Epidemiology and Biostatistics, Institute of Public Health, University of Gondar, Gondar, Ethiopia Background: Diabetes mellitus, frequently associated with comorbid depression, contributes to the double burden of individual patients and community. Depression remains undiagnosed in as many as 50%–75% of diabetes cases. This study aimed to determine the prevalence and associated factors of depression among diabetic patients attending the University of Gondar Hospital Diabetic Clinic, Northwest Ethiopia. Methods: An institution-based cross-sectional study was conducted from March to May 2014 among 422 sampled diabetic patients attending the University of Gondar Hospital Diabetic Clinic. The participants were selected using systematic random sampling. Data were collected by face-to-face interview using a standardized and pretested questionnaire linked with patient record review. Depression was assessed using the Patient Health Questionnaire-9. Data were entered to EPI INFO version 7 and analyzed by SPSS version 20 software. Binary logistic regression analysis was performed to identify factors associated with depression. Results: A total of 415 diabetic patients participated in the study with a response rate of 98.3%. The prevalence of depression among diabetic patients was found to be 15.4% (95% confidence interval (CI): 11.7–19.2). Only religion (adjusted odds ratio [AOR] =2.65 and 95% CI: 1.1–6.0) and duration of diabetes (AOR =0.27 and 95% CI: 0.07–0.92) were the factors associated with depression among diabetic patients. Conclusion: The prevalence of depression was low as compared to other similar studies elsewhere. Disease (diabetes) duration of 10 years and above and being a Muslim religion follower (as compared to Christian) were the factors significantly associated with depression. Early screening of depression and treating depression as a routine component of diabetes care are recommended. Further research with a large sample size, wider geographical coverage, and segregation of type of diabetes mellitus is recommended. Keywords: depression, diabetes, University of Gondar Hospital
format article
author Birhanu AM
Alemu FM
Ashenafie TD
Balcha SA
Dachew BA
author_facet Birhanu AM
Alemu FM
Ashenafie TD
Balcha SA
Dachew BA
author_sort Birhanu AM
title Depression in diabetic patients attending University of Gondar Hospital Diabetic Clinic, Northwest Ethiopia
title_short Depression in diabetic patients attending University of Gondar Hospital Diabetic Clinic, Northwest Ethiopia
title_full Depression in diabetic patients attending University of Gondar Hospital Diabetic Clinic, Northwest Ethiopia
title_fullStr Depression in diabetic patients attending University of Gondar Hospital Diabetic Clinic, Northwest Ethiopia
title_full_unstemmed Depression in diabetic patients attending University of Gondar Hospital Diabetic Clinic, Northwest Ethiopia
title_sort depression in diabetic patients attending university of gondar hospital diabetic clinic, northwest ethiopia
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/3034eb8dbc00402a98a547a8f117c4ee
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